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Cited by 269

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Analytical validity of nanopore sequencing for rapid SARS-CoV-2 genome analysis

Open access
Bull, Rowena A., Adikari, Thiruni N., Ferguson, James M., Hammond, Jillian M., Stevanovski, Igor, Beukers, Alicia G., Naing, Zin, Yeang, Malinna, Verich, Andrey, Gamaarachchi, Hasindu, Kim, Ki Wook, Luciani, Fabio, Stelzer-Braid, Sacha, Eden, John-Sebastian, Rawlinson, William D., van Hal, Sebastiaan J., Deveson, Ira W.·2020·Nature Communications

Abstract

Viral whole-genome sequencing (WGS) provides critical insight into the transmission and evolution of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Long-read sequencing devices from Oxford Nanopore Technologies (ONT) promise significant improvements in turnaround time, portability and cost, compared to established short-read sequencing platforms for viral WGS (e.g., Illumina). However, adoption of ONT sequencing for SARS-CoV-2 surveillance has been limited due to common concerns around sequencing accuracy. To address this, here we perform viral WGS with ONT and Illumina platforms on 157 matched SARS-CoV-2-positive patient specimens and synthetic RNA controls, enabling rigorous evaluation of analytical performance. We report that, despite the elevated error rates observed in ONT sequencing reads, highly accurate consensus-level sequence determination was achieved, with single nucleotide variants (SNVs) detected at >99% sensitivity and >99% precision above a minimum ~60-fold coverage depth, thereby ensuring suitability for SARS-CoV-2 genome analysis. ONT sequencing also identified a surprising diversity of structural variation within SARS-CoV-2 specimens that were supported by evidence from short-read sequencing on matched samples. However, ONT sequencing failed to accurately detect short indels and variants at low read-count frequencies. This systematic evaluation of analytical performance for SARS-CoV-2 WGS will facilitate widespread adoption of ONT sequencing within local, national and international COVID-19 public health initiatives.

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Metadata

Authors
Bull, R. A., Adikari, T. N., Ferguson, J. M., Hammond, J. M., Stevanovski, I., Beukers, A. G., Naing, Z., Yeang, M., Verich, A., Gamaarachchi, H., Kim, K. W., Luciani, F., Stelzer-Braid, S., Eden, J.-S., Rawlinson, W. D., van Hal, S. J., & Deveson, I. W.
Venue
Nature Communications
Published
2020-12-09
Volume
11
Issue
1
Pages
6272-6272
ISSN
2041-1723 (ISSN-L)
OpenAlex
W3112249938
Cited by
269
References
48
FWCI
12.79
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Analytical validity of nanopore sequencing for rapid SARS-CoV-2 genome analysis. https://app.cochat.ai/papers/10.1038/s41467-020-20075-6
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Bull, R. A., Adikari, T. N., Ferguson, J. M., Hammond, J. M., Stevanovski, I., Beukers, A. G., Naing, Z., Yeang, M., Verich, A., Gamaarachchi, H., Kim, K. W., Luciani, F., Stelzer-Braid, S., Eden, J.-S., Rawlinson, W. D., van Hal, S. J., & Deveson, I. W. (2020). Analytical validity of nanopore sequencing for rapid SARS-CoV-2 genome analysis. Nature Communications. https://doi.org/10.1038/s41467-020-20075-6

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.